Guillain‐Barré syndrome following COVID‐19 vaccination: An updated systematic review of cases

Key Clinical Message Guillain‐Barré syndrome (GBS) is a rare but possible complication that may occur after COVID‐19 vaccination. In this systematic review, we found that GBS presented in patients with an average age of 58. The average time for symptoms to appear was 14.4 days. Health care providers...

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Main Authors: Nour Shaheen, Abdelraouf Ramadan, Abdulqadir J. Nashwan, Ahmed Shaheen, Shahzaib Ahmad, Karam R. Motawea, Salaheldin Mohamed, Rahma Sameh Mohamed, Sarya Swed, Hani Aiash
Format: Article
Language:English
Published: Wiley 2023-06-01
Series:Clinical Case Reports
Subjects:
Online Access:https://doi.org/10.1002/ccr3.7456
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author Nour Shaheen
Abdelraouf Ramadan
Abdulqadir J. Nashwan
Ahmed Shaheen
Shahzaib Ahmad
Karam R. Motawea
Salaheldin Mohamed
Rahma Sameh Mohamed
Sarya Swed
Hani Aiash
author_facet Nour Shaheen
Abdelraouf Ramadan
Abdulqadir J. Nashwan
Ahmed Shaheen
Shahzaib Ahmad
Karam R. Motawea
Salaheldin Mohamed
Rahma Sameh Mohamed
Sarya Swed
Hani Aiash
author_sort Nour Shaheen
collection DOAJ
description Key Clinical Message Guillain‐Barré syndrome (GBS) is a rare but possible complication that may occur after COVID‐19 vaccination. In this systematic review, we found that GBS presented in patients with an average age of 58. The average time for symptoms to appear was 14.4 days. Health care providers should be aware of this potential complication. Abstract Most instances of Guillain‐Barré syndrome (GBS) are caused by immunological stimulation and are discovered after vaccinations for tetanus toxoid, oral polio, and swine influenza. In this systematic study, we investigated at GBS cases that were reported after receiving the COVID‐19 vaccination. Based on PRISMA guidelines, we searched five databases (PubMed, Google Scholar, Ovid, Web of Science, and Scopus databases) for studies on COVID‐19 vaccination and GBS on August 7, 2021. To conduct our analysis, we divided the GBS variants into two groups, acute inflammatory demyelinating polyneuropathy and non‐acute inflammatory demyelinating polyneuropathy (AIDP and non‐AIDP), and compared the two groups with mEGOS and other clinical presentation In this systematic review, 29 cases were included in 14 studies. Ten cases belonged to the AIDP variant, 17 were non‐AIDP (one case had the MFS variant, one AMAN variant, and 15 cases had the BFP variant), and the two remaining cases were not mentioned. Following COVID‐19 vaccination, GBS cases were, on average, 58 years of age. The average time it took for GBS symptoms to appear was 14.4 days. About 56 percent of the cases (56%) were classified as Brighton Level 1 or 2, which defines the highest level of diagnostic certainty for patients with GBS. This systematic review reports 29 cases of GBS following COVID‐19 vaccination, particularly those following the AstraZeneca/Oxford vaccine. Further research is needed to assess all COVID‐19 vaccines' side effects, including GBS.
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spelling doaj.art-0848587517954c03ba71c77f870d1ce22023-06-30T07:34:07ZengWileyClinical Case Reports2050-09042023-06-01116n/an/a10.1002/ccr3.7456Guillain‐Barré syndrome following COVID‐19 vaccination: An updated systematic review of casesNour Shaheen0Abdelraouf Ramadan1Abdulqadir J. Nashwan2Ahmed Shaheen3Shahzaib Ahmad4Karam R. Motawea5Salaheldin Mohamed6Rahma Sameh Mohamed7Sarya Swed8Hani Aiash9Faculty of Medicine Alexandria University Alexandria EgyptFaculty of Medicine Helwan University Cairo EgyptNursing Department Hamad Medical Corporation Doha QatarFaculty of Medicine Alexandria University Alexandria EgyptKing Edward Medical College: King Edward Medical University Lahore PakistanFaculty of Medicine Alexandria University Alexandria EgyptFaculty of Medicine Alexandria University Alexandria EgyptFaculty of Medicine Benha University Benha EgyptFaculty of Medicine Aleppo University Aleppo SyriaCardiovascular Perfusion Department Upstate Medical University Syracuse New York USAKey Clinical Message Guillain‐Barré syndrome (GBS) is a rare but possible complication that may occur after COVID‐19 vaccination. In this systematic review, we found that GBS presented in patients with an average age of 58. The average time for symptoms to appear was 14.4 days. Health care providers should be aware of this potential complication. Abstract Most instances of Guillain‐Barré syndrome (GBS) are caused by immunological stimulation and are discovered after vaccinations for tetanus toxoid, oral polio, and swine influenza. In this systematic study, we investigated at GBS cases that were reported after receiving the COVID‐19 vaccination. Based on PRISMA guidelines, we searched five databases (PubMed, Google Scholar, Ovid, Web of Science, and Scopus databases) for studies on COVID‐19 vaccination and GBS on August 7, 2021. To conduct our analysis, we divided the GBS variants into two groups, acute inflammatory demyelinating polyneuropathy and non‐acute inflammatory demyelinating polyneuropathy (AIDP and non‐AIDP), and compared the two groups with mEGOS and other clinical presentation In this systematic review, 29 cases were included in 14 studies. Ten cases belonged to the AIDP variant, 17 were non‐AIDP (one case had the MFS variant, one AMAN variant, and 15 cases had the BFP variant), and the two remaining cases were not mentioned. Following COVID‐19 vaccination, GBS cases were, on average, 58 years of age. The average time it took for GBS symptoms to appear was 14.4 days. About 56 percent of the cases (56%) were classified as Brighton Level 1 or 2, which defines the highest level of diagnostic certainty for patients with GBS. This systematic review reports 29 cases of GBS following COVID‐19 vaccination, particularly those following the AstraZeneca/Oxford vaccine. Further research is needed to assess all COVID‐19 vaccines' side effects, including GBS.https://doi.org/10.1002/ccr3.7456COVID‐19COVID‐19 vaccinesGuillain‐Barré syndrome (GBS)SARS‐CoV‐2
spellingShingle Nour Shaheen
Abdelraouf Ramadan
Abdulqadir J. Nashwan
Ahmed Shaheen
Shahzaib Ahmad
Karam R. Motawea
Salaheldin Mohamed
Rahma Sameh Mohamed
Sarya Swed
Hani Aiash
Guillain‐Barré syndrome following COVID‐19 vaccination: An updated systematic review of cases
Clinical Case Reports
COVID‐19
COVID‐19 vaccines
Guillain‐Barré syndrome (GBS)
SARS‐CoV‐2
title Guillain‐Barré syndrome following COVID‐19 vaccination: An updated systematic review of cases
title_full Guillain‐Barré syndrome following COVID‐19 vaccination: An updated systematic review of cases
title_fullStr Guillain‐Barré syndrome following COVID‐19 vaccination: An updated systematic review of cases
title_full_unstemmed Guillain‐Barré syndrome following COVID‐19 vaccination: An updated systematic review of cases
title_short Guillain‐Barré syndrome following COVID‐19 vaccination: An updated systematic review of cases
title_sort guillain barre syndrome following covid 19 vaccination an updated systematic review of cases
topic COVID‐19
COVID‐19 vaccines
Guillain‐Barré syndrome (GBS)
SARS‐CoV‐2
url https://doi.org/10.1002/ccr3.7456
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